TY - JOUR
T1 - Cholestasis in children with portal vein obstruction
AU - Gauthier-Villars, Marion
AU - Franchi, Stéphanie
AU - Gauthier, Frédéric
AU - Fabre, Monique
AU - Pariente, Danièle
AU - Bernard, Olivier
PY - 2005/1/1
Y1 - 2005/1/1
N2 - We describe cholestasis as a result of bile duct abnormalities in 8 children with portal vein obstruction. In a clinical, biochemical and radiological investigation of 121 children with cavernous transformation of the portal vein seen between 1986 and 2000, 8 presented with jaundice, pruritus, and/or raised serum aminotransferases and/or gamma glutamyl transpeptidase (gamma GT) activities. Each displayed dilation and narrowing of intra- and/or extrahepatic bile ducts. Surgical decompression of the portal system (portal-systemic or Rex anastomosis) resulted in the regression of the signs of cholestasis in all children. We conclude that children with portal vein obstruction may exhibit clinically significant cholestasis as a result of external compression of the bile duct by the cavernoma.
AB - We describe cholestasis as a result of bile duct abnormalities in 8 children with portal vein obstruction. In a clinical, biochemical and radiological investigation of 121 children with cavernous transformation of the portal vein seen between 1986 and 2000, 8 presented with jaundice, pruritus, and/or raised serum aminotransferases and/or gamma glutamyl transpeptidase (gamma GT) activities. Each displayed dilation and narrowing of intra- and/or extrahepatic bile ducts. Surgical decompression of the portal system (portal-systemic or Rex anastomosis) resulted in the regression of the signs of cholestasis in all children. We conclude that children with portal vein obstruction may exhibit clinically significant cholestasis as a result of external compression of the bile duct by the cavernoma.
UR - http://www.scopus.com/inward/record.url?scp=16344380606&partnerID=8YFLogxK
U2 - 10.1016/j.jpeds.2004.12.025
DO - 10.1016/j.jpeds.2004.12.025
M3 - Article
C2 - 15812469
AN - SCOPUS:16344380606
SN - 0022-3476
VL - 146
SP - 568
EP - 573
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 4
ER -